NPI | 1205060985 |
---|---|
Former Name | SHARON L. VANDYKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71002928) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28183877) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2011-07-26 |